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Rizal Technological University

College of Arts and Sciences

Department of Psychology

A Narrative Report in

On-the-Job Training Undertaken at National Center for Mental Health

Mandaluyong City, Philippines

Presented to the Faculty Head of Psychology Department

Rizal technological University

Boni Avenue, Mandaluyong City

In Partial Fulfillment of the Requirements for the Degree of

Bachelor of Science in Psychology

Submitted by:
Cheska May A. Beltran
CAS-06-802E

Submitted to:

Prof. Lilibeth Cortez

April 2018
DEPARTMENT OF HEALTH
NATIONAL CENTER FOR MENTAL HEALTH

NCMH was established through Public Works Act 3258. It was formally opened
on December 17, 1928. It was later called the National Mental Hospital, on November

12, 1986, it was renamed National Center for Mental Health (NCMH) through
Memorandum Circular No. 48 issued by the Office of the President. Formerly known as
the Insular Psychopathic Hospital, the Mandaluyong Mental Hospital, and the National
Mental Hospital, was established on 17 of December 1928. It was founded in order to
accommodate the increasing number of mental patients and other patients with related
nervous system conditions who, in 1925, were being taken cared of by two hospitals,
namely the San Lazaro Hospital (in its "Insane Department") and the City Sanitarium in
the Philippines.

The insane asylum hospital was built under Philippine Public Works Act No. 3258
at a 64 hectare location in Barrio Mauway, Mandaluyong, and Rizal near the City of
Manila. Patients from the San Lazaro Hospital were transferred to the National Center
for Mental Health in 1928. Patients from the City Sanitarium were transferred in 1935.
The National Center for Mental Health is currently under the ((Department of Health of
the Philippines. With the increasing number of patients being admitted, the center has
resorted to soliciting donations from private sectors.

NCMH is a special training and research hospital mandated to render a


comprehensive (preventive, promotive, curative and rehabilitative) range of quality
mental health services nationwide. NCMH has an authorized bed capacity of 4,200 and
a daily average of 3,400 in-patients. It is located at Nueve de Febrero St. Mandaluyong
City. It sprawls on a 46.7 hectare compound with a total of 35 Pavilions/Cottages and 52
wards. The Center has an authorized personnel component of 1,993 consisting of 116
Doctors, 375 Nurses, 655 Nursing Attendants, 651 Administrative Staff and 196 Medical
Ancillary Personnel.

Mission: To provide responsive and comprehensive mental health care services.

Vision: To be globally-recognized mental health center.

Core Values: Excellent, cultural and gender sensitivity, compassion, integrity,


commitment and dedication, responsible and accountable public service.

Quality Policy: Globally accepted, the National Center for Mental Health is committed
to provide responsive and comprehensive mental health services that will promote a
healthy nation. We nurture a team of competent, compassionate, and empowered staff
through continuous education, training and provision of equal opportunity for
professional growth and development. We continuously provide safe environment and
state-of-the-art facilities and equipment that are acceptable, accessible, and affordable
to the clients we serve. We go beyond our clients’ expectations. We CARE, We
EMPOWER, We EXCEL.

Service Pledge: We, the officials and employees of the National Center for Mental
Health pledges and commit to deliver quality public services as promised in the NCMH
Citizen’s Charter. Specifically, we will...

 Serve and integrity;


 Be prompt and timely;

 Display procedures, fees and charges;

 Provide adequate and accurate information;

 Be consistent in applying rules; Provide feedback mechanism;

 Be polite and courteous;

 Demonstrate sensitivity and appropriate behavior and professionalism;

 Wear proper uniform and identification;

 Be available during office hours;

Administration

The National Center for Mental Health is composed of well-trained, highly-skilled


and dedicated professionals and individuals who achieved prestigious recognition in
their respective fields. NCMH doctors and nurses are known around the globe for their
hard work, competence, and dedication; thus making NCMH the country's forefront
institution in giving mental health care services to its people.

Hospital Management and Staff

The Executive Committee

Medical Center Chief II


BERNARDINO A. VICENTE
Doctor of Medicine, Psychiatry
Masters in Hospital Administration
Fellow, Philippine Psychiatric Association
Career Executive Service Officer IV
Chief Medical Professional Staff II
Hospital Services
BEVERLY A. AZUCENA
Doctor of Medicine, Psychiatry
Masters in Health Hospital Administration
Fellow, Philippine Psychiatric Association
International Fellow, American Psychiatric
Association

Chief Medical Professional Staff II


Community Services
VENUS SERRA-ARAIN
Doctor of Medicine, Psychiatry
Masters in Hospital Administration
Fellow, Philippine Psychiatric Association

Chief Administrative Officer


Administrative Support Services
CLARITA M. AVILA
Master of Public Administration
Bachelor of Law
Bachelor of Arts

Supervising Administrative Officer


OIC - Finance Service
DIONISIO A. TOLENTINO
Master of Public Administration
Bachelor of Science in Business Administration
Chief Medical Infirmary
BERNADETTE T. SELUDO
Doctor of Medicine
Masters in Public Health
Fellow, Philippine Society of Microbiology
and Infectious Diseases

Chief Medical Training Officer


ALDEN C. CUYOS
Doctor of Medicine, Psychiatry
Masters in Health Hospital Administration
Fellow, Philippine Psychiatric Association

Nurse V
OIC Nursing Service
PUBLIO B. PLOTEÑA III
Registered Nurse
Masters in Nursing
ORGANIZATIONAL CHART

Services and Resources


The National Center for Mental Health is categorized as a Special Research
Training Center and hospital under Department of Health. The NCMH is a special
training and research hospital mandated to render a comprehensive (preventive,
promotive, curative and rehabilitative) range of quality mental health services
nationwide.

Hospital Resources

The hospital has a total of 35 pavilions/cottages and 52 wards, occupying an


area of 46. 7 hectares. Facilities include a medical infirmary, library, chapel, conference
rooms, tennis court, basketball court, multi-purpose hall and dormitories. As of January
2011, NCMH has a human resource complement of 88 doctors, 890 nursing staff, 116
medical ancillary personnel, and 446 administrative support staff. For 2010, it has
government budget allocation of Php 523, 982, 000, which translate into an average
cost of Php 118.61 per patient per day.

Classified as a tertiary teaching/training hospital by DOH, NCMH offers training


programs for medical and allied fields. It has two formal training programs:

Psychiatric Residency Training Program for Doctors -Four Year course leading to a
specialization in Psychiatry

Psychiatric Nursing Program -Two Year training program for nurses specializing in
Psychiatric care.

Affiliation Programs -For students in the fields of psychology, pharmacy, medical social
service, nursing and others.

Mandate and Functions

NCMH was established in 1925 through Public Works Act 3258. It was formally
opened on December 17, 1928 and was originally called the INSULAR PSYCHOPATIC
HOSPITAL. It was later called the National Mental Hospital. On November 12, 1986, it
was renamed NATIONAL CENTER FOR MENTAL HEALTH (NCMH) through
Memorandum Circular No. 48 issued by the Office of the President.
NCMH was classified as Special Research Training Center and Hospital under
the Department of Health on January 30, 1987. It is licensed by the DOH and is
accredited by Phil health (tertiary training/teaching hospital). The leading mental health
care facility in the country, NCMH provides a comprehensive range of preventive,
curative and rehabilitative mental health services. It has an authorized bed capacity of
4,200 patients and a daily inpatient average of 3,000 patients. It serves an average of
56,000 outpatients per year.

Most of the NCMH’s patients are from Metro Manila and nearby in Region III and
IV. As a rational resource, NCMH also caters to patient from other regions of the
country, especially forensic cases referred by the courts of law. Treatment is about 87%
of inpatients belonging to classes C and D subsidized by NCMH.

Admission and Out-Patient Services

Admission section is accommodated in the diagnostic and intensive Care Unit,


one of the units of the Female Service. In this unite through physical and psychiatric
examination is completed within the first few days following administration. Each patient
is given individual attention and specific treatment program is determined after an
evaluation of the nature of their illness. Intensive treatment started as soon as possible
consisting of a combination of drug therapy and psychotherapy.

Male Services

The male service is the counterpart of the female services. It follows the same as
in the Female service and adopts the same treatment principles and procedures.
However, the staffs for service in cooperation with the nursing personnel have
succeeded in establishing the first well-organized social therapy program in the hospital
based in the therapeutic community concept. This program was later adopted by the
other services.

Adolescent’s Services
Prior to the opening of the Adolescent Service in 1967, the adolescent’s patients
were force to live together with the adult patients, since 1969. The adolescent’s service
has expanded and is now composed of three units (pavilions). Only patients from age
21 and below presenting severe emotional, mental, and behavioral disorders are
accepted for treatment in the service.

Forensic Psychiatric Services

Among the hospital patient population are these mentally ill who, in legal
terminology, are called “criminally insane”. There are the mentally ill who have
committed offense against society and have been legally committed by the courts of
justice throughout the country for examination, evaluation and treatment of confinement.

Infirmary Services

Mentally ill patients are not immune to physical illness and those who succumb to
these while in the hospital are treated in the Hospital’s infirmary frequently referred to as
the “General Hospital of the National Mental Health”. The infirmary also has a
Dispensary, a Family Planning Clinic and an Employees Section with several rooms for
their use and for their immediate dependents.

Pay Services

While the National Mental Hospital was opened principally to serve the poor, and
underprivileged, a pay service was opened in 1952 to meet the needs of the middle-
income families. The bed capacity of the pay service is 200, 100 of which are for male
and female patients. Their accommodation consists mainly of wards for eight with the
few private rooms. The rates charged are very moderate compared to the general
hospitals and includes charges for professional services since it is a closed hospital.

RESOURCES:
 Facilities: Personnel Complement: 35 Pavillions 46.7 hectare
and 52 Wards Property

 Medical  305 medical staffs


infirmary
 Library  1,131 nursing staffs
 Chapel  231 medical ancillary
personnel
 Conference  862 administrative
rooms support staffs
 Tennis court
 Basketball
court
 Multi-
purpose
hall
 Dormitories

DESCRIPTION OF UNIT/ PAVILION YOU WERE ASSIGNED:


Pavillion 19 is a Male Cost Recovery Unit which has two dorms with a 59 patients
in total. Most of them categorize having schizophrenia. The age bracket of these
Pavillion is in 26 to 75 years old. Since this Pavillion is in cost recovery it has
hospital rates of 12,500pesos

Rizal Technological University


Bachelor of Science Major in Psychology

NARRATIVE REPORT

Internship at National Center for Mental Health was the time I am waited for so
long and now it had finished. My thoughts before I gone to NCMH is that what if the
patient got mad and divert that anger towards me and how would I respond to it. How
would they respond to the tests and how should I talked to them but still hoping that
whatever may it takes, I know in myself that I will learn something and will have a
wonderful experience interacting to those people who needs attention and medication.

Last March 12, 2018 was my first day at NCMH and I just got excited. Before we
assigned to different Pavillions, we orient us held by Dr. Sabas, he orient us of what we
should do and what should not, he also gives us a little piece of advice as an intern.
After orientation, we grouped us held by Ms. Nanette and I was assigned at Pavilion 19
also as Male Cost Recovery Unit under Dr. Henedina Tayag, a chief psychologist. They
oriented us what are the rules and regulations of the NCMH that interns should obey,
the way we approached to patients we should act as if we are dominant to them to
avoid them to manipulate us. Even there is something funny, we should act like there is
nothing to laugh for. We should be in our poker face. We should tie our hair as always
since they are patients and no one knows what they wanted to do just to prevent
violence of the patients towards interns. . While heading our way to the pavilion 19, I
was a bit curious and excited because finally I am now a trainee inside the NCMH and
at the same time so that we can familarize those Pavillion. Some of us got nervous at
first, because all the patient inside the jail, all eyes on you. If you want to look the
surroundings, you can see that there's a patient dancing with no clothes on and that
totally shocked me to the point that I should hold back my emotions because I really
wanted to let it out and cover my eyes but I can't and I need to act as if I see nothing.
There were some who will shout "Ma'am! Ma'am! Hi Ma'am" and if you're too sensitive
with the stinky smell, you should learn how to adapt the environment inside because it's
not the place for you to act sossy and made them witness that you are disgusted. This
is the path that we choose so we should know that it would be inappropriate if we show
them that attitude of ours. Then on the following day, they thought us how should we
talk to the patients and how should be administered. After that, we should review all the
tests that we are going to administer to the patients since before having our patients. My
first ever having a patient was on March 16, 2018. At first I am nervous because this is
my first time to handle a patient. The patients at Pavilion 19 are way of getting better
and at very least, they are aware of their name, what had happen to them, and they can
recall something happened in their past that may contributed or factored on their current
state. While doing the tests, I was really shaking and my mind was really shattered at
that time. Like I know the instructions but since I am nervous, I can't function very well.
Imagine, you need to observe the patient – his mood, gestures, clothes he's wearing, if
he's focus, if he's cooperative, etc– while being aware of the time limit and preparing for
the next test that should be given. As I do the protocol of my first patient, despite of the
presence of my worriedness I still enjoy the feeling of doing an assessment with my
patient. I feel so overwhelmed, happy as well as sad. Overwhelmed because this is my
first time doing this things, though I’ve done something like this before but there’s still a
difference between the two. Overwhelm because I do not expect that I will be able to
handle my situation. Where, I can still be fierce and act what I supposed to act, because
it is not easy to limit or control your emotions especially if the stimulus is so strong. My
second patient is still at the Pavillion 19 which I understand very well and our
conversaton is continous and he answered fast those questions and the test as well. I
feel enjoyed to interact with him because he is outspoken. Lastly, still at the Pavillion 19
which I give longer patience because I don't understand what he says clearly and his
voice was weak at the same time his answer were irrelevant and you cannot do
anything with that.

We also conducted Group Dynamics, it was very enjoying and we have also
chance to communicate with co-interns, planning and organizing with the event.
Meeting with patients was unexplainable feelings, I witnessed different patients with
different disorders, and I feel like I am really doing the actual work of being a
psychologist and I was very happy and life-changing to communicate these people
battling with their disorder. Group dynamics is one of the activities that we had
conducted. It was a wonderful experience and seeing them happy is our pleasure. It
was not that easy since we have to think something different and still patients will learn
something from that. It was such an amazing experience and memory that will always
be treasured.

There is always an excitement since patients are all different some are easily to
deal and cooperative and some are not. You just have a lot of patience dealing and
interacting with them but as long as you love what you are doing, it doesn’t bother
anyway. Although, scoring and interpreting projective and psychological tests are time
consuming that is after I have conducted the patient, right away I am doing their
psychological reports to avoid cramming.

Parents that support their family or relative at NCMH is the most essential part for
the patient to get better. They feeling the love they’ve deserve since they need so much
more of that because of their condition. Different causes, different stories, different lives
but they belong to one hospital and all they need are attention, medication or treatment,
and love from the people they been expecting to be there. And I have realized that I am
just blessed that I can still handle my stresses and problems in life since I have family, I
have friends, and I have God who gave everything for me.

PREPARED BY:

CHESKA MAY A. BELTRAN


Rizal Technological University (Boni)

NOTED BY:

DR. HENEDINA L. TAYAG, MA, RPm, RPsy


Clinical Instructor
This photo was taken during the
time when I was administering
the psychological test and at the
Photossame timeInternship
during have a clinical
Days in
interview in Pavillion 19.
National Center for Mental Health

This is the time when we


have time to go and
familiarize the different
Pavillions and to know where
it is located.

As you can see we have a


jump shot which was taken
beside OPS. Which we had
free time to take photos.
This is me with my OJT buddies, which is also my classmates since
1st year. This photo was taken in the NCMH where the architecture of
Napoleon Abueva was made which is behind us.

This photo was taken after our Group Dynamics in


Pavilion 19. This is my co-interns as well.

RIZAL TECHNOLOGICAL UNIVERSITY


Group Dynamics in Pavillion 19
“EQUIPPING THE MIND TOWARDS THE NORM THROUGH SOCIALIZATION”
RTU-Boni
 Cheska May Beltran
 Xenith Ivy Bicaldo
 Alyssa Mae Cabug
 Shiela Cuvin
 Janice Gordola
 Ronilo Prestado
 Jerick Ramirez
 Archie Romualdo
 Jayvee Vendiola
 Mark Villamin

Program Flow
I. Prayer 1:00- 1:05pm
II. Opening Remarks 1:05-1:10pm
III. Intermission Number 1:10- 1:15pm
IV. Energizer 1 (Stop Dance) 1:15- 1:25pm
V. Fruits and Vegetables( Activity 1) 1:25- 1:40pm
VI. Spell the Picture (Activity 2) 1:40- 2:00pm
VII. Energizer 2 ( The Boat is Sinking) 2:00- 2:10pm
VIII. Bring me the Color 2:10-2:30pm
IX. Reflection 2:30- 2:35pm
X. Closing Remarks 2:35- 2:40pm
XI. Snakcs and Awarding 2:40- 3:00pm
“EQUIPPING THE MIND TOWARDS THE NORM THROUGH SOCIALIZATION
was the theme for group dynamics which was conducted last April 10, 2018 at 1:00 in
the afternoon. We have a total of fifteen participants. They were our patients and to
express our gratitude for them, they were also served as the participants for the group
dynamics that we have prepared.

They became cooperative to the activities given as expected, since, when our
day 1 of administering psychological test, they kept on asking if it was testing or GD.
And when the group dynamics day came, they became competitive yet they have
learned that sportsmanship is very essential to the games and activities conducted. If
they won, they were happy since they exert effort to it, and when they lose, they still
enjoy and the game and try their luck next time. Overall, it’s so heartwarming to hear
that they know how the world sees them but they still keep their hopes up for their goals
to be treated and get back to their families. Additionally, they all prayed and wished us
good luck for our study, they all wanted us to meet one day but not inside the center
anymore

That was such an amazing experience to get along with the patients. Knew their
story while administering the psychological tests and understand why they came up to
that kind of situation. At the same time, made them feel that they were allow and
capable to be loved. Since some of them, like my patient, she doesn’t saw her family for
almost a year. Through group dynamics they have learned things like cooperation, unity,
sportsmanship, and just simply enjoy the day given to them. That for a moment, they
can set aside their longings and just be happy for a while.
I have learned that our self is our number one enemy. The way we think, the way
absorb the things that we our encountering to and so forth. We became anxious on
different things; the problem is on how we handle it. and I have realized that we our able
to make someone happy through simple things and we are totally blessed, that we have
our family to support our needs, friends who are always there, and God who gave
everything right in place. Everything happens for a reason, and maybe they must have
learned and realized some things that they may use and apply for them to become a
better person on the following years.

It was amazing experience to have an internship conducted at National Center


for Mental Health. It was an eye opener that mental health is very essential to consider
and stigma to mental illness was not good. They are all humans too who need attention,
love and care. They need medication for them to recover, and they need understanding
since they have different situations it is just that they cannot handle those challenges
that time but they were at NCMH to recover and come back at least to reality.

PREPARED BY:

CHESKA MAY A. BELTRAN


Rizal Technological University (Boni)

NOTED BY:

DR. HENEDINA L. TAYAG, MA, RPm, RPsy


Clinical Instructor
Photos of Group Dynamics in Pavillion 19 at National Center for Mental Health

This photos was taken before we start


our group dynamics/socialization, we
do design and preparing the materials
needed for the activities.
This phot was taken during
opening prayer led by Jerick
Ramirez.

As you can see this photo is an opening remarks,


unfortunately our C.I was not around, so, our leader,
Archie led the opening remarks. In the right side,
Alyssa led the intermission number whicn she sang.
This photo says that they enjoyed in energizer. In
the lef side the energizer is Stop Dance which the
music is "Baby Shark" and in the right side the
energizer is the "Boat is Sinking".

This photo was taken during the activities gone. In 1st picture the activity named as
Fruits and Vegetables where they should categorize those pictures if it is fruits or
vegetables. The 2nd photo the activity named as a Spelling Bee which we see
pictures and spell it what is the picture is it. Lastly, the 3rd photo the activity named
as Bring Me, which we will say what color amd how manh they will pick up and give
to facilitator assigned.They are enjoyed very well.
Psychological Reports
with
Attached Tests
Psychological Reports
with
Attached Tests

RIZAL TECHNOLOGICAL UNIVERSITY


Group Dynamics in Pavilion 18
“EQUIPPING THE MIND TOWARDS THE NORM THROUGH SOCIALIZATION”
RTU-Boni
 Heddy Hedreyda
 Cindy Ching
 Claire Bocala
 Haralyn Landeza
 Clarise Ello
 Karisse Labarda
 Romalyn Junio
 Jillian Claire Del Prado
 Sheyne Laristan
 Chelsea Galla

Program Flow
XII. Prayer 1:00- 1:05pm
XIII. Opening Remarks 1:05-1:10pm
XIV. Intermission Number 1:10- 1:15pm
XV. Energizer 1 (Stop Dance) 1:15- 1:25pm
XVI. Fruits and Vegetables( Activity 1) 1:25- 1:40pm
XVII. Spell the Picture (Activity 2) 1:40- 2:00pm
XVIII. Energizer 2 ( The Boat is Sinking) 2:00- 2:10pm
XIX. Bring me the Color 2:10-2:30pm
XX. Reflection 2:30- 2:35pm
XXI. Closing Remarks 2:35- 2:40pm
XXII. Snakcs and Awarding 2:40- 3:00pm